[1]王 濯,卢 珏.脑卒中后患者吞咽障碍真实体验的质性Meta整合[J].常州大学学报(自然科学版),2023,35(06):90-97.[doi:10.3969/j.issn.2095-0411.2023.06.012]
 WANG Zhuo,LU Jue.Qualitative meta-synthesis of real experiences of stroke patients with dysphagia[J].Journal of Changzhou University(Natural Science Edition),2023,35(06):90-97.[doi:10.3969/j.issn.2095-0411.2023.06.012]
点击复制

脑卒中后患者吞咽障碍真实体验的质性Meta整合()
分享到:

常州大学学报(自然科学版)[ISSN:2095-0411/CN:32-1822/N]

卷:
第35卷
期数:
2023年06期
页码:
90-97
栏目:
生物医药工程
出版日期:
2023-11-28

文章信息/Info

Title:
Qualitative meta-synthesis of real experiences of stroke patients with dysphagia
文章编号:
2095-0411(2023)06-0090-08
作者:
王 濯 卢 珏
(常州大学 医学与健康工程学院, 江苏 常州 213164)
Author(s):
WANG Zhuo LU Jue
(School of Medical and Health Engineering, Changzhou University, Changzhou 213164, China)
关键词:
脑卒中 吞咽障碍 质性研究 系统评价 Meta整合
Keywords:
stroke dysphagia qualitative research systematic evaluation meta-synthesis
分类号:
R 473.5
DOI:
10.3969/j.issn.2095-0411.2023.06.012
文献标志码:
A
摘要:
经计算机检索数据库,收集从建库至2021年12月关于脑卒中后患者吞咽障碍体验的质性研究文献,对结果进行Meta整合,旨在系统评价和整合脑卒中后患者吞咽障碍的真实体验。结果共纳入11篇中英文文献,提炼出73个研究结果,经归纳、综合成3个整合结果,共包含10个新类别。整合结果发现患者经历严重的生理障碍与矛盾情绪; 患者的日常生活和家庭社会角色受限,但随时间推移,患者尝试恢复日常生活和家庭社会角色; 患者逐渐自我调整,并管理吞咽障碍,但仍渴望得到医务人员的持续支持。结果提示医务人员需关注患者的经历、需求与体验,给予相应支持和指导,帮助患者改善生理、心理、社会等层面的困境,提高患者吞咽相关的生活质量。
Abstract:
To systematically review and synthesize the lived experience of living with post-stroke dysphagia, relevant electronic databases were searched from inception to December 2021,to collect qualitative studies in the experience of living with post-stroke dysphagia. A total of 11 studies were included,and 73 complete findings were grouped according to 3 integrated results to form 10 new categories. Integration results found that patients suffered from both physiological and psychological burdens; patients were limited in daily life and social activities, and attempted to reintegrate to social and life roles over time; patients gradually adjusted themselves and achieve self-management, while they desired to receive continuing support from medical staff. Medical staff should pay attention to the patient's needs and experience, giving corresponding support to help patients improving the physiological, psychological, social and other aspects, in order to improve the patient's swallowing-related quality of life.

参考文献/References:

[1] MOZAFFARIAN D, BENJAMIN E J, GO A S, et al. Heart disease and stroke statistics: a report from the American Heart Association[J]. Circulation, 2015, 131(4): 29-322.
[2] PACHECO-CASTILHO A C, VANIN G M, DANTAS R O, et al. Dysphagia and associated pneumonia in stroke patients from Brazil: a systematic review[J]. Dysphagia, 2019, 34(4): 499-520.
[3] WILKINSON J M, CODIPILLY D C, WILFAHRT R P. Dysphagia: evaluation and collaborative management[J]. American Family Physician, 2021, 103(2): 97-106.
[4] PONTES É S, AMARAL A K, RÊGO F L, et al. Quality of life in swallowing of the elderly patients affected by stroke[J]. Arquivos De Gastroenterologia, 2017, 54(1): 27-32.
[5] LUKER J, LYNCH E, BERNHARDSSON S, et al. Stroke survivors' experiences of physical rehabilitation: a systematic review of qualitative studies[J]. Archives of Physical Medicine and Rehabilitation, 2015, 96(9): 1698-1708.
[6] 冯兰棱, 张迁, 杨雪梅, 等. 国内护理领域高影响力期刊2016—2018年发表质性研究报告的质量评价[J]. 中国循证医学杂志, 2020, 20(3): 311-316.
[7] LOCKWOOD C, MUNN Z, PORRITT K. Qualitative research synthesis: methodological guidance for systematic reviewers utilizing meta-aggregation[J]. International Journal of Evidence-Based Healthcare, 2015, 13(3): 179-187.
[8] JACOBSSON C, AXELSSON K, ÖSTERLIND P O, et al. How people with stroke and healthy older people experience the eating process[J]. Journal of Clinical Nursing, 2000, 9(2): 255-264.
[9] PERRY L, MCLAREN S. Eating difficulties after stroke[J]. Journal of Advanced Nursing, 2003, 43(4): 360-369.
[10] PERRY L, MCLAREN S. Coping and adaptation at six months after stroke: experiences with eating disabilities[J]. International Journal of Nursing Studies, 2003, 40(2): 185-195.
[11] CARLSSON E, EHRENBERG A, EHNFORS M. Stroke and eating difficulties: long-term experiences[J]. Journal of Clinical Nursing, 2004, 13(7): 825-834.
[12] MEDIN J, LARSON J, VON ARBIN M, et al. Striving for control in eating situations after stroke[J]. Scandinavian Journal of Caring Sciences, 2010, 24(4): 772-780.
[13] MEDIN J, LARSON J, VON ARBIN M, et al. Elderly persons' experience and management of eating situations 6 months after stroke[J]. Disability and Rehabilitation, 2010, 32(16): 1346-1353.
[14] KLINKE M E, HAFSTEINSDÓTTIR T B, THORSTEINSSON B, et al. Living at home with eating difficulties following stroke: a phenomenological study of younger people's experiences[J]. Journal of Clinical Nursing, 2014, 23(1/2): 250-260.
[15] MOLONEY J, WALSHE M. I had no idea what a complicated business eating is: a qualitative study of the impact of dysphagia during stroke recovery[J]. Disability and Rehabilitation, 2018, 40(13): 1524-1531.
[16] MCCURTIN A, HEALY C, KELLY L, et al. Plugging the patient evidence gap: what patients with swallowing disorders post-stroke say about thickened liquids[J]. International Journal of Language & Communication Disorders, 2018, 53(1): 30-39.
[17] HELLDEN J, BERGSTRÖM L, KARLSSON S. Experiences of living with persisting post-stroke dysphagia and of dysphagia management: a qualitative study[J]. International Journal of Qualitative Studies on Health and Well-Being, 2018, 13(S1): 1522194.
[18] 董小方. 基于循证构建脑卒中吞咽障碍患者管理方案及效果评价[D]. 郑州: 郑州大学, 2018.
[19] 刘可, 颜君, 张美芬. 质性研究和量性研究的区别[J]. 中华护理杂志, 2003, 38(1): 68-69.
[20] 王新田, 候婕, 杨克虎. 护理质性研究对循证护理的影响探讨[J]. 护理学报, 2011, 18(5): 46-48.
[21] 王祯莲, 宋国强. Drp1相关线粒体异常与阿尔茨海默病的研究进展[J]. 常州大学学报(自然科学版), 2020, 32(2): 74-79.
[22] FURIE K L, JAYARAMAN M V. 2018 guidelines for the early management of patients with acute ischemic stroke[J]. Stroke, 2018, 49(3): 509-510.
[23] 汪婷, 蒋红, 王君俏, 等. 脑卒中患者进食体验的系统评价[J]. 护理学杂志, 2015, 30(5): 94-96, 99.
[24] 王爱霞, 唐起岚, 郭丽娜. 心理及认知行为干预对脑卒中吞咽障碍患者功能恢复的影响[J]. 中国实用神经疾病杂志, 2018, 21(12): 1373-1378.
[25] 李志鹏, 高健, 陈玉倩, 等. 我国治理因病致贫返贫的政策变迁及长效机制研究[J]. 常州大学学报(社会科学版), 2022, 23(4): 39-47.
[26] 王拥军, 王少石, 赵性泉, 等. 中国卒中吞咽障碍与营养管理手册[J]. 中国卒中杂志, 2019, 14(11): 1153-1169.
[27] CAMERON J I, O'CONNELL C, FOLEY N, et al. Canadian stroke best practice recommendations: managing transitions of care following stroke, guidelines update 2016[J]. International Journal of Stroke, 2016, 11(7): 807-822.

备注/Memo

备注/Memo:
收稿日期: 2023-04-20。
基金项目: 常州市卫健委重大科技资助项目(ZD202014)。
作者简介: 王濯(1991—), 女, 江苏常州人, 博士, 讲师。 E-mail: wangzhuo88@cczu.edu.cn
更新日期/Last Update: 1900-01-01